Individual
DR. SHASHI S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 N CENTRAL AVE, VALLEY STREAM, NY 11580-1136
(516) 825-5505
Mailing address
525 N CENTRAL AVE, VALLEY STREAM, NY 11580-1136
(516) 825-5505
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
130215
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00523386
—
NY
Enumeration date
07/08/2005
Last updated
07/08/2007
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